Updated News http://www.cmanet.org/news/detail/?article=webinar-responding-to-the-hepatitis-a-outbreak http://www.cmanet.org/news/detail/?article=webinar-responding-to-the-hepatitis-a-outbreak Webinar: Responding to the hepatitis A outbreak in California The California Department of Public Health (CDPH) is currently dealing with one of the largest person-to-person hepatitis A outbreaks this country has seen since the development of a vaccine, more than 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=physicians-must-re-register-to-certify http://www.cmanet.org/news/detail/?article=physicians-must-re-register-to-certify Physicians must re-register to certify disability and family leave claims online Last month, the California Employment Development Department (EDD) launched a new online portal, Benefit Programs Online. This new portal provides a single login to access all of EDD’s online benefit 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=dmhc-fines-anthem-5-million-for-failing-to http://www.cmanet.org/news/detail/?article=dmhc-fines-anthem-5-million-for-failing-to DMHC fines Anthem $5 million for failing to address consumer grievances On November 15, 2017, the California Department of Managed Health Care (DMHC) took enforcement action—including a $5 million fine—against Anthem Blue Cross for a systemic failure to resolve 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=blue-shield-corrects-two-problems-affecting http://www.cmanet.org/news/detail/?article=blue-shield-corrects-two-problems-affecting Blue Shield corrects two problems affecting accurate payment of claims subject to new law AB 72, California’s new out-of-network billing and payment law, requires fully insured commercial plans and insurers to make “interim payments” to non-contracted physicians for covered, 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=cms-extends-physician-compare-preview-period0 http://www.cmanet.org/news/detail/?article=cms-extends-physician-compare-preview-period0 CMS extends Physician Compare preview period The Centers for Medicare and Medicaid Services (CMS) has extended the Physician Compare preview period to December 1, 2017. The extension is due to a technical issue that prevented data from properly being 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=webinar-learn-about-virtual-groups-for-cms http://www.cmanet.org/news/detail/?article=webinar-learn-about-virtual-groups-for-cms Webinar: Learn about virtual groups for CMS quality payment program To encourage broader participation in the MACRA Quality Payment Program (QPP) for solo practitioners and groups with 10 or fewer eligible clinicians, the Centers for Medicare and Medicaid Services (CMS) 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=physicians-fight-back-against-anthem-modifier http://www.cmanet.org/news/detail/?article=physicians-fight-back-against-anthem-modifier Physicians fight back against Anthem modifier 25 payment reduction policy As CMA recently reported, Anthem Blue Cross notified physicians in several states that it will begin reducing reimbursement of evaluation and management (E&M) 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=anthem-blue-cross-to-alter-member-id-cards http://www.cmanet.org/news/detail/?article=anthem-blue-cross-to-alter-member-id-cards Anthem Blue Cross to alter member ID cards Anthem Blue Cross has announced that it plans to alter its member ID cards. Anthem reports that the new member ID cards, which started going out to enrollees in September 2017, have been redesigned to 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=reminder-tricare-transitions-to-hnfs-on http://www.cmanet.org/news/detail/?article=reminder-tricare-transitions-to-hnfs-on Reminder: TRICARE transitions to HNFS on January 1 On January 1, 2018, Health Net Federal Services (HNFS) will begin providing managed care services to 2.9 million TRICARE beneficiaries in the 21 western states, including California. HNFS will be taking 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=do-you-know-if-non-contracted-payors-are http://www.cmanet.org/news/detail/?article=do-you-know-if-non-contracted-payors-are Do you know if non-contracted payors are complying with AB 72 interim payment rules? AB 72, California's new out-of-network billing and payment law, requires fully insured commercial plans and insurers to make “interim payments” to non-contracted physicians for covered, 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=last-day-to-change-your-medicare-participation http://www.cmanet.org/news/detail/?article=last-day-to-change-your-medicare-participation Last day to change your Medicare participation status for 2018 is December 31 Once again, it’s time for physicians to decide if they want to make changes to their Medicare participation status. Physicians have until December 31, 2017, to make changes for the 2018 participation 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=blue-shield-electronic-claims http://www.cmanet.org/news/detail/?article=blue-shield-electronic-claims Blue Shield to require electronic claim submission On October 26, Blue Shield of California notified physicians that for new or renewing provider agreements for 2018, it will begin requiring practices to submit their claims electronically. All claims, 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=california-sees-dramatic-reduction-in-use-of http://www.cmanet.org/news/detail/?article=california-sees-dramatic-reduction-in-use-of California sees dramatic reduction in use of antipsychotics in nursing homes Five years ago, the Centers for Medicare and Medicaid Services (CMS) launched a national initiative, the Partnership to Improve Dementia Care, to reduce the unnecessary use of antipsychotic drugs and improve 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=2018-q1-resolutions-open-for-testimony http://www.cmanet.org/news/detail/?article=2018-q1-resolutions-open-for-testimony 2018 Q1 resolutions open for testimony As part of its policy-making process, CMA allows members to submit resolutions for debate and discussion throughout the year. These resolutions will be considered by 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00 http://www.cmanet.org/news/detail/?article=blue-cross-em http://www.cmanet.org/news/detail/?article=blue-cross-em Anthem Blue Cross announces plans to significantly cut reimbursement on E/M services with modifier 25 Anthem Blue Cross recently notified physicians in several states of upcoming changes to the payor’s reimbursement policies and claims editing software, called ClaimsXten. As part of the policy c 0001-01-01 00:00 +00:00 0001-01-01 00:00 -08:00